Diabetic Digest - Wednesday, December 19, 2007
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News, updates and help from and for the diabetic community.
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Readers:
Christmas is less than a week away. I'm sure you are
getting everything ready for next week, but remember
not to neglect your health.
Over the weekend, I was shoveling snow and I had not
yet had any lunch. I knew that should have eaten prior
to the rather strenuous activity, but it didn't.
Afterwards, I wasn't feeling all that well so I made
myself a sandwich, actuallt two, and ate like there
was no tomorrow.
The point is not to get too wrapped up in all that
happens between now and the holidays. Your health is
your number one priority. Just be safe and health this
holiday season. It will make it all that much more
enjoyable.
Regards,
Steve
Diabetic Update Newsletter
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Weight Loss May Slow Atherosclerosis in Diabetics
NEW YORK (Reuters Health) - In addition to reducing
cholesterol and other known cardiac risk factors, new
study findings suggest that controlling one's weight
will help slow the build up of calcium on the walls of
the coronary arteries and retard the progression of
atherosclerosis.
Atherosclerosis, also referred to as "hardening of the
arteries, is when the arteries narrow as a result of
calcium deposits, which restricts blood flow and increases
the risk of clot formation.
Dr. Trevor J. Orchard and colleagues from the University
of Pittsburgh, Pennsylvania, identified risk factors for
coronary artery disease progression in 222 adults with
type 1 diabetes and examined if changes in these factors
influenced progression to coronary artery disease. The
subjects were participants in the Pittsburgh Epidemiology
of Diabetes Complications Study, a prospective investi-
gation of childhood-onset type 1 diabetes.
The patients underwent two electron beam tomographic
screenings 4 years apart and progression as defined as
an increase greater than 2.5 in the square root-transformed
coronary arteries score, according to findings published
in the American Journal of Cardiology
When the team assessed changes in risk factors, an increase
in weight was the most influential modifiable risk factor
associated with coronary artery disease progression,
increasing the risk by 38 percent.
"Our ultimate goal is to identify the rate of progression
that best predicts subsequent cardiovascular events,"
Orchard's team explains.
Although there is not yet enough follow-up time and data
to fully address this issue, a preliminary look suggests
that an increase coronary artery score "is the best single
predictor of coronary artery disease events," they note.
About 9 percent of the study patients had this risk factor
after 4 years.
Furthermore, the investigators conclude, that for type 1
diabetes to slow the progression of coronary artery
disease, as well as for other health reasons, weight
control is important.
SOURCE: American Journal of Cardiology, November 15, 2007.
Copyright 2006 Reuters Limited. All rights reserved.
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Study finds fitness level, not body fat, may be stronger
predictor of longevity for older adults
Adults over age 60 who had higher levels of cardio-
respiratory fitness lived longer than unfit adults,
independent of their levels of body fat, according to
a study in the December 5 issue of JAMA.
Previous studies have provided evidence that obesity and
physical inactivity each can produce a higher risk of death
in middle-aged adults. Whether this is also true for older
adults is uncertain, according to background information
in the article.
Xuemei Sui, M.D., of the University of South Carolina,
Columbia, and colleagues examined the associations between
cardiorespiratory fitness, various clinical measures of
adiposity (body fat) and death in older women and men. The
study included 2,603 adults age 60 years or older (average
age, 64.4 years; 19.8 percent women) enrolled in the
Aerobics Center Longitudinal Study who completed a baseline
health examination during 1979-2001. Fitness was assessed
by a treadmill exercise test and adiposity was assessed by
body mass index (BMI), waist circumference, and percent
body fat. Low fitness was defined as the lowest fifth of
the sex-specific distribution of treadmill exercise test
duration. There were 450 deaths during an average follow-up
of 12 years.
The researchers found that those who died were older, had
lower fitness levels, and had more cardiovascular risk
factors than survivors. However, there were no significant
differences in adiposity measures. Participants in the
higher fitness groups were for the most part less likely
to have risk factors for cardiovascular disease, such as
hypertension, diabetes, or high cholesterol levels. Fit
participants had lower death rates than unfit participants
within each stratum of adiposity, except for two of the
obesity groups. In most instances, death rates for those
with higher fitness were less than half of rates for those
who were unfit.
Higher levels of fitness were inversely related to all-
cause death in both normal-weight and overweight BMI
subgroups, in those with a normal waist circumference
and in those with abdominal obesity, and in those who
have normal percent body fat and those who have excessive
percent body fat.
"We observed that fit individuals who were obese (such as
those with BMI of 30.0-34.9, abdominal obesity, or excessive
percent body fat) had a lower risk of all-cause mortality
than did unfit, normal-weight, or lean individuals. Our
data therefore suggest that fitness levels in older
individuals influence the association of obesity to
mortality," the authors write.
"Our data provide further evidence regarding the complex
long-term relationship among fitness, body size, and
survival. It may be possible to reduce all-cause death
rates among older adults, including those who are obese,
by promoting regular physical activity, such as brisk
walking for 30 minutes or more on most days of the
week (about 8 kcal/kg per week), which will keep most
individuals out of the low-fitness category. Enhancing
functional capacity also should allow older adults to
achieve a healthy lifestyle and to enjoy longer life in
better health."
This article was prepared by Cardiovascular Week editors
from staff and other reports. Copyright 2007,
Cardiovascular Week via NewsRx.com.
2007 NewsRx.com. All Rights Reserved.
Copyright 2007, Cardiovascular Week via NewsRx.com
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Diabetic Recipe
Christmas Fruit Squares
(makes 25)
butter-flavored cooking spray
3/4 cup (72 g) sifted cake flour
1/2 teaspoon (2.5 ml) baking powder
1/8 teaspoon (0.6 ml) salt
1 teaspoon (5 ml) ground cinnamon
2/3 cup (19 g) spoonable brown sugar substitute
1/4 cup (32 g) chopped walnuts
1/2 cup (55 g) chopped peeled apple
1/2 cup (66 g) dried no-sugar-added dried cherries
1/3 cup (53 g) chopped dried apricots
1/4 cup (36 g) golden raisins
1 large egg + 1 large egg white
2 tablespoons (30 ml) fresh orange juice
1 tablespoon (15 ml) canola oil
1. Position the rack in the middle of the oven. Preheat
oven to 350°F (180°C), Gas Mark. Line a 9-inch (22.5 cm)
square baking pan with parchment paper. Lightly coat
the paper with cooking spray.
2. In a bowl, mix together the flour, baking powder, salt,
cinnamon, brown sugar substitute, and walnuts.
3. In a small bowl, combine apple, dried cherries,
apricots, and raisins. Add to flour mixture and using
your hands, toss the fruits with the flour, separating
the fruits and coating them evenly with flour mixture.
4. In a large measuring cup, beat together egg, egg white,
orange juice, and oil. Mix well. Add to flour-fruit
mixture and stir with a wooden spoon until mixture is
thoroughly mixed and evenly moistened.
5. Spoon into prepared pan and press down evenly. Bake for
25 minutes, until top is golden and a tester inserted
in the center comes out clean. Cool in the pan on a rack
for 10 minutes. Using a sharp knife, cut into 25 squares.
Cool completely. Store in an airtight container.
Per 2-square serving: 94 calories (29% calories from fat),
2 g protein, 4 g total fat (0.4 g
saturated fat), 16 g carbohydrates,
2 g dietary fiber, 18 mg cholesterol,
54 mg sodium
Diabetic exchanges: 1 carbohydrate (fruit), 1 fat
Copyright 1997-2001 Diabetic-Lifestyle.
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